Provider Demographics
NPI:1356788459
Name:GERFAUD, LINDSEY (OTR/L)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:GERFAUD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16770 HIGHWAY YY
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MO
Mailing Address - Zip Code:65340-5129
Mailing Address - Country:US
Mailing Address - Phone:417-619-4437
Mailing Address - Fax:
Practice Address - Street 1:16770 HIGHWAY YY
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MO
Practice Address - Zip Code:65340-5129
Practice Address - Country:US
Practice Address - Phone:417-619-4437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT13265225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOT13265OtherCALIFORNIA BOARD OF OCCUPATIONAL THERAPY